Attachment_1_-_Experience_Information_Form_-_Contractor_and_Sub-Contractor.docx

FY16 Poe Gate Embedded Anchorage Replacement

RFP W911XK-16-R-0003

EXHIBIT A Experience Information Form

PART 1: Provide Information

Provide the following information requested in this format for each of the three to five projects/contracts being described. Projects may be on going and cannot have been completed any earlier than 10 years from the solicitation issue date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you identify.

A. Offeror (Your) Name (Company/Division):

B. Project/Contract Title:

C. Contract Specifics:

1. Description of Effort as Prime or Subcontractor

2. Contract Number

3. Original Contract dollar Value Current/Final Contract dollar Value

4. If the amounts in number 3 above are different, provide a brief description of the reason:

5. Completion Date:

a. Original Date:

b. Current Schedule_

c. Estimate/Final Completion Date:

d. Primary Cause for Contract Modification(s)

D. Provide a detailed description of the work performed under the contract, to include but not limited to: similarity of the construction methods; size; project scope; cost magnitude and complexity of work performed to those required for the proposed effort as described in Factor 1, Subfactor 1. Also discuss similarity of the client type and/or location at which work was performed to the location(s) at which work will be performed and the key personnel of the referenced project to the performance under the proposed contract.

In addition address the following

1. Describe the specific elements of the work performed by your firm.

2. Indicate what elements of work were performed by your major subcontractors and if those same subcontractors will be used on this project. If you intend to use these subcontractors please list name and principal areas of work they will perform.

3. Address any technical areas about this project you consider uniquely relevant to this project.

4. If you intend to use any of the same key personnel on this solicitations’ project indicate by name and position those personnel occupied on the referenced contract. (Project Manager, Site Superintendent, Quality Control Manager). Indicate what position they will have on this solicitation’s contract.

5. Describe why you believe the work is very relevant, relevant or semi-relevant to this solicited project. (Use as much space as necessary)

E. List point of Contact for Owner/Government agency Contracting Officer and or inspector; include a current phone number and facsimile number. Email address is also desired.